archetype (adl_version=1.4) openEHR-EHR-CLUSTER.inspection-tongue.v1 specialise openEHR-EHR-CLUSTER.inspection.v1 concept [at0000.1] -- Inspection of tongue language original_language = <[ISO_639-1::en]> description original_author = < ["name"] = <"Heather Leslie"> ["organisation"] = <"Ocean Informatics"> ["email"] = <"heather.leslie@oceaninformatics.com"> ["date"] = <"23/05/2007"> > details = < ["en"] = < language = <[ISO_639-1::en]> purpose = <"For recording the findings on inspection of the tongue."> use = <"For use with the exam clusters for recording findings on inspection"> keywords = <"inspect", "visual", "tongue"> misuse = <"Should only be used in the exam observation"> copyright = <"copyright (c) 2009 openEHR Foundation"> > > lifecycle_state = <"AuthorDraft"> other_contributors = <> other_details = < ["references"] = <""> > definition CLUSTER[at0000.1] matches { -- Inspection of tongue items cardinality matches {0..*; unordered} matches { CLUSTER[at0001] occurrences matches {0..1} matches { -- Normal statements items cardinality matches {0..*; unordered} matches { ELEMENT[at0002] occurrences matches {0..*} matches { -- Normal statement value matches { DV_CODED_TEXT matches { defining_code matches {[local::at0.62]} -- Tongue normal } } } } } ELEMENT[at0048] occurrences matches {0..1} matches { -- Clinical Description value matches { DV_TEXT matches {*} } } CLUSTER[at0006] occurrences matches {0..1} matches { -- Findings items cardinality matches {0..*; unordered} matches { ELEMENT[at0036] occurrences matches {0..1} matches { -- Colour description value matches { DV_TEXT matches {*} } } CLUSTER[at0005] occurrences matches {0..1} matches { -- Location of abnormality items cardinality matches {0..*; unordered} matches { ELEMENT[at0022] occurrences matches {0..*} matches { -- Description value matches { DV_CODED_TEXT matches { defining_code matches {[local::]} } } } } } CLUSTER[at0018] occurrences matches {0..1} matches { -- Shape items cardinality matches {0..*; unordered} matches { ELEMENT[at0019] occurrences matches {0..1} matches { -- Description value matches { DV_TEXT matches {*} } } ELEMENT[at0020] occurrences matches {0..1} matches { -- Symmetrical value matches { DV_BOOLEAN matches { value matches {True, False} } } } } } ELEMENT[at0051] occurrences matches {0..1} matches { -- Contour value matches { DV_TEXT matches {*} } } ELEMENT[at0027] occurrences matches {0..1} matches { -- Surface value matches { DV_TEXT matches {*} } } ELEMENT[at0024] occurrences matches {0..1} matches { -- Surrounds value matches { DV_TEXT matches {*} } } CLUSTER[at0028] occurrences matches {0..1} matches { -- Edge items cardinality matches {0..*; unordered} matches { ELEMENT[at0033] occurrences matches {0..1} matches { -- Description value matches { DV_TEXT matches {*} } } ELEMENT[at0029] occurrences matches {0..1} matches { -- Definition value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0030, -- Well defined at0031, -- Moderately defined at0032] -- Poorly defined } } } } } } ELEMENT[at0034] occurrences matches {0..1} matches { -- Translucent value matches { DV_BOOLEAN matches { value matches {True, False} } } } CLUSTER[at0.58] occurrences matches {0..1} matches { -- Size items cardinality matches {0..*; unordered} matches { ELEMENT[at0.59] occurrences matches {0..1} matches { -- Description value matches { DV_TEXT matches {*} } } ELEMENT[at0.60] occurrences matches {0..1} matches { -- Presence of atrophy value matches { DV_BOOLEAN matches { value matches {True, False} } } } CLUSTER[at0.61] occurrences matches {0..1} matches { -- Details items cardinality matches {0..*; unordered} matches { allow_archetype CLUSTER[at0.63] occurrences matches {0..1} matches { include archetype_id/value matches {/openEHR-EHR-CLUSTER\.size\.v1|openEHR-EHR-CLUSTER\.dimensions\.v1/} } } } } } CLUSTER[at0.52] occurrences matches {0..1} matches { -- Movements items cardinality matches {0..*; unordered} matches { ELEMENT[at0.53] occurrences matches {0..1} matches { -- Deviation on protrusion value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0.54, -- None at0.55, -- Deviates to right at0.56] -- Deviates to left } } } } ELEMENT[at0.57] occurrences matches {0..1} matches { -- Description of Involuntary movements value matches { DV_TEXT matches {*} } } } } CLUSTER[at0049] occurrences matches {0..1} matches { -- Detail items cardinality matches {0..*; unordered} matches { allow_archetype CLUSTER[at0052] occurrences matches {0..1} matches { include archetype_id/value matches {/openEHR-EHR-CLUSTER\.exam\.v1/} } } } } } ELEMENT[at0050] occurrences matches {0..1} matches { -- Drawing value matches { DV_MULTIMEDIA matches { media_type matches { [openEHR:: 425, 426, 427, 428, 429] } } } } } } ontology term_definitions = < ["en"] = < items = < ["at0.52"] = < text = <"Movements"> description = <"Movements of the tongue"> > ["at0.53"] = < text = <"Deviation on protrusion"> description = <"Does the tongue deviate on protrusion"> > ["at0.54"] = < text = <"None"> description = <"*"> > ["at0.55"] = < text = <"Deviates to right"> description = <"*"> > ["at0.56"] = < text = <"Deviates to left"> description = <"*"> > ["at0.57"] = < text = <"Description of Involuntary movements"> description = <"Description of any involuntary movements of the tongue"> > ["at0.58"] = < text = <"Size"> description = <"*"> > ["at0.59"] = < text = <"Description"> description = <"Text description of the size of the tongue"> > ["at0.60"] = < text = <"Presence of atrophy"> description = <"Does the tongue show signs of atrophy?"> > ["at0.61"] = < text = <"Details"> description = <"*"> > ["at0.62"] = < text = <"Tongue normal"> description = <"*"> > ["at0.63"] = < text = <"Cluster: Size and Dimension"> description = <"*"> > ["at0000"] = < text = <"Inspection"> description = <"The findings on physical examination by inspection"> > ["at0000.1"] = < text = <"Inspection of tongue"> description = <"The findings on physical examination by inspection of the tongue"> > ["at0001"] = < text = <"Normal statements"> description = <"An optional group of statements about the normality of the inspection"> > ["at0002"] = < text = <"Normal statement"> description = <"A specific statement about the normality of inspection"> > ["at0005"] = < text = <"Location of abnormality"> description = <"The location of any findings"> > ["at0006"] = < text = <"Findings"> description = <"Specific findings on inspection"> > ["at0018"] = < text = <"Shape"> description = <"The shape or distribution of the object inspected"> > ["at0019"] = < text = <"Description"> description = <"Description of the "> > ["at0020"] = < text = <"Symmetrical"> description = <"Whether the distribution is symmetrical"> > ["at0022"] = < text = <"Description"> description = <"Description of the location of the findings"> > ["at0024"] = < text = <"Surrounds"> description = <"Description of immediate surrounds to object"> > ["at0027"] = < text = <"Surface"> description = <"A description of the surface"> > ["at0028"] = < text = <"Edge"> description = <"Findings about the edge of the object under inspection"> > ["at0029"] = < text = <"Definition"> description = <"The nature of the edge of the object of examination"> > ["at0030"] = < text = <"Well defined"> description = <"The edge is clearly defined"> > ["at0031"] = < text = <"Moderately defined"> description = <"The edge is defined but less clear in places"> > ["at0032"] = < text = <"Poorly defined"> description = <"The edge is not defined clearly in many places"> > ["at0033"] = < text = <"Description"> description = <"Description of the edge or border of the object of inspection"> > ["at0034"] = < text = <"Translucent"> description = <"Is the object of inspection translucent?"> > ["at0036"] = < text = <"Colour description"> description = <"The colour of the object under inspection"> > ["at0048"] = < text = <"Clinical Description"> description = <"Clinical description of the findings on inspection of the tongue"> > ["at0049"] = < text = <"Detail"> description = <"Detailed examination of a finding on inspection"> > ["at0050"] = < text = <"Drawing"> description = <"A drawing of the findings on inspection"> > ["at0051"] = < text = <"Contour"> description = <"The contour of the object of inspection"> > ["at0052"] = < text = <"Cluster: Exam"> description = <"Exam details"> > > > >